Browsing by Author "Zeleke, Haymanot"

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    Assessment of Nurses’ Preparedness (KNOWLEDGE, Attitudes and Skill) and Identify Barriers to Care Women Expose to Ipv Attending at Governmental Health Care Institution, In East Gojjam Zone, Amhara Regional State, Ethiopia, 2014
    (Addis Ababa University, 2014-06) Zeleke, Haymanot; Mengistu, Daniel (PhD)
    Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors that may include inflicted physical injury, psychological abuse, sexual assault, progressive social isolation. This violence can be considered a leading public health problem with serious health consequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, no information of nurses‟ preparedness (knowledge, attitude and skill, and barriers) regarding to IPV care in Ethiopia, high prevalence and impact on women health, these make it problem. Objectives: To assess nurses‟ knowledge, practice and attitude, and identify barriers to care women exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia. Method: Quantitative study design was conducted to assess nurses‟ preparedness (knowledge, practice and attitude) to care women exposed to IPV and qualitative design for barriers to care Women exposed to IPV. East Gojjam has 18 woredas. Required sample size was 448 nurses. From 18 woredas, nine woredas were randomly selected through proportionate sampling method then the study sample was selected randomly. The collected data was cleaned, coded and entered in EpiData version 3.1 then transferred to SPSS version 16.0 for analysis. Descriptive statistics like frequency and percentage was used to summarize the socio-demographic characteristics‟, knowledge, attitude and skill. To know whether there is association or not between factors and nurses‟ care of, multivariate regression was used. Then odds ratio was used to find which variable was the most significant to affect of care women exposed to IPV. The strength of statistical association measured by adjusted odds ratios with 95% confidence intervals and 0.5% marginal error. Three groups of nurses from emergency, OPD and Obygynacology wards nurses purposely were selected. Total nurses who were participating in focus group discussions were 24. nurses‟ conversation auto taped, transcribed, translated and analyzed through open code soft ware 6.3 version. Finally, integrated according to emerging themes and then narriated. Result: Just over 94% of all respondents had not received training. More than the half of nurses was not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition, almost 60% of nurses were not skillful. A logistic regression analysis indicated that there was a significant association between being male to care to Women exposed to IPV. Males were 7.899 times more likely to give care to Women exposed to IPV. Nurses who had experience on the care of women exposed to IPV were more give care than who never had experience. Barriers described by nurses were; related to social, institutional, nurses and victim/ women exposed to intimate partner violence/ that affect nurse care to women exposed to IPV were addressed. Conclusion:. Training was significantly affecting the care of women exposed to IPV. Many of nurses had no skill/experience to care women exposed to IPV and majority of nurses could not ask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritable bowel syndrome. Majority of nurses were not knowledgeable and not skillfull thus affect nursing care of women exposed to IPV. Generally, the majority of the nurses did not provide nursing care to women exposed to IPV. Recommendation: East Gojjam zone health offices to open the opportunity of getting nursing care training regarding to women exposed to IPV. At higher institutions like university r training before and afte graduation, expanding education opportunity, expanding education opportunity and incorporating in nursing curriculum is recommended. Strengthening of health services in promoting early nurses‟ training and experience sharing and special emphasis to information on signs and what next action shall be done is recommended. Key words: Preparedness to care, readiness to care, barriers to care and IPV care
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    Socio-Economic and Demographic Determinates of Maternal Health Care Utilization Services in Ethiopia
    (Addis Ababa University, 2013-06) Zeleke, Haymanot; Sharma, MK. (Prof.)
    Maternal mortality in Ethiopia is one of the highest in the world. One explanation for poor health outcomes among women and children is the non use of modern health care services by a sizable proportion of women in Ethiopia. The main objective of this study is to analyze factors associated with the utili zation of health care servi ces, which influence the use of maternal health care services in Eth iopia. The data for this study were taken from the 20 I I Ethiopian Demographic and Health Survey which is a nationally representative survey of women in the 15-49 years age groups. Then logistic regression technique was used to estimate parameters. Separate models were also used for ANC, delivery care and PNC. In addi tion to this a bivarite analysis was done to estimate the probabil ity of use of the maternal health care services. In the logistic regression model place of res idence, occupation of husband, education level of mother's and husband, region and exposure to mass media were found to be strong indicators of utilization of health care service. Mother's work status was not significantly related with delivery care and PNC. Mother's age and birth order were found insignificant factors for ANC and rel igion and mother's age were found insignificant related to PNC.